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MORE OPTIONSDISAGREE & EXITAGREE & EXIT Skip to Main Content × MAIN MENU U.S. Edition NEWS U.S. NewsWorld NewsBusinessEnvironmentHealthCoronavirusSocial Justice POLITICS Joe BidenCongressExtremismElections 2022 OPINION ENTERTAINMENT Culture & ArtsMediaCelebrityTV & Film LIFE Style & BeautyFood & DrinkParentingTravelWellnessRelationshipsMoneyHome & LivingWork/LifeShopping VOICES Queer VoicesWomen's VoicesBlack VoicesLatino VoicesAsian Voices SPECIAL PROJECTS Highline HUFFPOST PERSONAL HOROSCOPES FOR OUR PARTNERS Sleep On ItThe Skin You're InClean LivingMemories In The Making NEWSLETTERS INTERNATIONAL AustraliaBrazilCanadaEspañaFranceΕλλάδα (Greece)IndiaItalia日本 (Japan)한국 (Korea)QuébecU.K.U.S. FOLLOW US Terms | Privacy Policy Part of HuffPost Politics. ©2023 BuzzFeed, Inc. All rights reserved. Log InJoin HuffPost NEWSPOLITICSENTERTAINMENTLIFEPERSONALVOICESSHOPPINGVIDEO U.S. EditionOpen editions submenu × WHAT'S HOT THE BEST SUNSCREENS FOR ECZEMA-PRONE SKIN 8 EVERYDAY FOODS THAT ARE SURPRISINGLY HYDRATING WHAT TO DO IF YOU'RE SEATED BY AN UNRULY PASSENGER ON A FLIGHT THE FATHER'S DAY GIFT THAT ACTUALLY IMPRESSED MY MUSIC-OBSESSED DAD SAY HELLO TO 33 TIKTOK-FAMOUS BEAUTY PRODUCTS YOU'LL WANT TO ADD TO YOUR ROUTINE 17 MIRACULOUS KITCHEN CLEANING PRODUCTS FOR EVEN THE MESSIEST COOKS WE FOUND ANOTHER EXCELLENT LOOKALIKE FOR THIS REVIEWER-FAVORITE VIRAL BAG THIS MIGHT BE THE WORLD'S BEST FOUNDATION, ACCORDING TO... EVERYONE LEAH REMINI CELEBRATES EDUCATION MILESTONE AFTER 35 YEARS IN SCIENTOLOGY 'CULT' HOW TO FIND THE BEST SUNSCREENS FOR ECZEMA, ACCORDING TO DERMATOLOGISTS PATRICK MAHOMES AND TRAVIS KELCE WIN AGAIN DOING SHTICK AT WHITE HOUSE ROBERT HANSSEN, EX-FBI AGENT WHO SPIED FOR RUSSIA, DIES IN PRISON PoliticsRon DeSantismedicaid AS RON DESANTIS BARNSTORMS NEW HAMPSHIRE, THOUSANDS OF FLORIDIANS LOSE HEALTH INSURANCE He's attacking Disney and "the woke mob" on the campaign trail, but his policies back home are making it harder for low-income residents to stay insured. By Jonathan Cohn Senior National Correspondent, HuffPost Jun 4, 2023, 08:00 AM EDT Florida’s Ron DeSantis is now officially a candidate for president, and so far his campaign is going about as expected. The Republican governor has decried the “malignant ideology” of the left and “the woke mob,” and he’s promised to make the rest of America more like his “free state of Florida.” He has suggested that Disney is trying to brainwash America, and he’s gone after former President Donald Trump too, albeit indirectly, by urging Republicans to “dispense with a culture of losing” during an appearance in New Hampshire. These are the subjects DeSantis wants to discuss and, quite possibly, the ones that matter most to Republican primary voters. But there’s another topic in the news that could use some attention. Advertisement Over the past few weeks, roughly a quarter-million Floridians have lost health insurance coverage through Medicaid. And that’s just the beginning. In the coming months, even more Medicaid beneficiaries in Florida could lose their coverage as well ― with many, and quite possibly most, ending up uninsured altogether. It’s a big deal in Florida. It should be a big deal elsewhere too, because a major reason for the coverage losses are a series of policy decisions that DeSantis and his administration have made. These decisions say a lot about his priorities and values, and how he might govern as president. THE END OF A PANDEMIC POLICY The story unfolding in Florida is part of a larger one playing out across the country, as the federal government ends the last of its COVID-19 emergency measures. One of those initiatives focused on Medicaid, the health insurance program for low-income Americans that states administer using a combination of their own funding and money from Washington. Some states make it relatively easy to enroll and stay on the program. Others don’t. And especially in those that make it more difficult, tons of people lose their coverage even though they remain eligible ― in some cases, simply because they couldn’t figure out the paperwork. It’s a situation that advocates have long decried, and one that even Medicaid critics agreed was problematic in the pandemic, when the need to get medical care was so urgent. Advertisement That’s why the pandemic relief package that Congress passed and Trump signed in March 2020 offered states extra Medicaid funds as long as they suspended their usual verification and reenrollment procedures. In other words, anybody on Medicaid would get to stay on it automatically, for the duration of the public health emergency. The states agreed, and it’s one reason that Medicaid enrollment swelled ― which, in turn, was partly why the number of Americans without health insurance fell to record lows. Now, that arrangement has ended. Once again, states are going through their Medicaid rolls, requiring beneficiaries to reestablish their qualifications to stay on the program. But just as some states have historically made the enrollment process easier, some are currently going out of their way to minimize coverage losses ― for example, by using existing databases to verify people’s eligibility automatically, when possible. Certain states are going even further by changing their Medicaid programs to make it easier to stay on. One such state is Oregon, where officials recently worked with President Joe Biden’s administration on a series of Medicaid changes designed to better address poverty. A key element was the introduction of “continuous” eligibility for young children, meaning that those who get onto Medicaid will automatically stay on the program until they turn 6 years old. The trade-off is that, almost inevitably, there will be some kids on Medicaid who are no longer eligible or no longer need the coverage ― say, because their parents have gotten better-paying jobs with benefits. Oregon officials evidently figure it’s a small price to pay for helping so many more kids in need. Advertisement “The public health emergency has clearly demonstrated the value of having continuous health insurance, particularly for populations that experience health disparities and have had historical barriers to health care access,” said Elizabeth Gharst, a spokesperson for Oregon’s Health Authority, after the change was announced. But officials in some states don’t have that mentality. One of them is Florida, which last month released its first report on how the Medicaid reverification process was going. THE MEDICAID PURGE IN FLORIDA The state’s official data showed that, in just a few weeks of reviewing records, Florida had canceled coverage for nearly 250,000 residents. That’s a lot of people, obviously. But what was perhaps more striking was that this represented 54% of the records it had reviewed. In other words, somebody lost coverage in more than half of all the Medicaid cases that Florida examined. Last week, the health care research organization KFF published a brief comparing figures from nine states that have begun their review processes in earnest and are reporting figures. Florida’s proportion of disenrollments was the highest. And while a handful of states had similar rates, others were dramatically lower. In Virginia, for example, the rate was just 10%. Advertisement It’s impossible to know exactly which Floridians are losing coverage and why. In all likeliness, some truly don’t qualify for Medicaid anymore. But only 18% of those losing coverage in the state were definitively determined to no longer qualify. The rest were disenrolled for “procedural” reasons ― meaning that something in their paperwork was off. It’s a safe bet, as the KFF brief noted, that many of these people still qualify for Medicaid but just struggled to navigate the documentation requirements and bureaucratic procedures. Most likely, many will end up with no insurance at all. A WINDOW INTO A DESANTIS PRESIDENCY Health care advocates in Florida feared precisely this scenario, practically begging the state to go slow on redeterminations and to make sure the process was thorough. Now that the initial figures are available, 52 organizations have sent a joint letter asking the governor’s administration to pause the process so it can set up better notification procedures and increase staff numbers at the agency processing cases. All eight Democrats who represent Florida in the U.S. House of Representatives signed a letter making the same basic plea. “When governors see such large numbers of terminations of coverage for procedural reasons … they should pause the process and see what is going wrong,” Joan Alker, a Georgetown University research professor who has been following the Medicaid redetermination story for months, said at a virtual press conference in May. Advertisement But Florida officials have defended their process as sufficiently careful, while DeSantis has expressed no interest in making changes ― which, perhaps, isn’t surprising given his history on health care policy. He has a long record of opposing government health care plans, for the same reasons that most conservatives do: He argues they are too costly and wasteful, and that they interfere with the free market by sapping individual initiative. As a member of the House in 2017, he voted to support far-reaching efforts to repeal the Affordable Care Act. As Florida’s governor, he has refused to support the ACA’s Medicaid expansion for the state, which is the biggest reason that more than 12% of Floridians don’t have health insurance. That’s the fourth-highest rate in the country. Exactly what role his thinking played in shaping Florida’s approach to Medicaid redeterminations is an interesting question. The same goes for how DeSantis feels about so many of his residents losing coverage. But he hasn’t addressed the topic publicly, and when HuffPost repeatedly asked about it when first covering this story months ago, his administration didn’t provide answers. On the presidential campaign trail, DeSantis has generally been appearing in front of friendly audiences and supportive interlocutors. But he’s going to run into sharper questioning eventually. At some point — maybe during the primaries, maybe not until the general election contest — somebody is bound to ask about these huge coverage losses. Advertisement As they should. Government health care programs like Medicaid represent a massive commitment of federal funds. They are also a lifeline for a large swath of the population, with the potential to reach even more people who need help. DeSantis would have a lot to say about this as president. Voters deserve a preview of what that would sound like. RELATED Ron DeSantismedicaid 'GLAMOROUS' TRAILER HAS KIM CATTRALL IN CHARGE OF QUEER-INCLUSIVE BEAUTY EMPIRE RHEA PERLMAN, WHO SPLIT FROM DANNY DEVITO IN 2012, DROPS A SURPRISE ABOUT THEM AN 'AMERICA'S GOT TALENT' ACT JUST REDUCED SIMON COWELL TO AN EMOTIONAL MESS RELATED Ron DeSantismedicaid KATE BECKINSALE CREDITS KEANU REEVES WITH HELPING HER SIDESTEP A WARDROBE MALFUNCTION MARY STEENBURGEN SAYS SHE GOT TURNED ON BY CONTROVERSIAL ACTOR IN LOVE SCENE EMMY ROSSUM OPENS UP ABOUT PLAYING TOM HOLLAND’S MOM DESPITE QUESTIONABLE AGE GAP Go To Homepage JONATHAN COHN Senior National Correspondent, HuffPost Do you have information you want to share with HuffPost? Here’s how. Suggest a correction POPULAR IN THE COMMUNITY YOU MAY LIKE TRENDING AMAZON REVIEWERS LOVE THIS $24 ‘FOOT STRETCHER’ TO RELIEVE ALL KINDS OF PAIN DAVID BYRNE’S HISTORY OF AVOIDING UNIONS DATES BACK TO THE 1980S 6 VACCINES EVERY ADULT OVER 50 SHOULD HAVE ATLANTA CITY COUNCIL APPROVES LEGISLATION FOR CONTROVERSIAL 'COP CITY' FUNDING THE 1 BIG MISTAKE YOU'RE PROBABLY MAKING WITH YOUR OUT-OF-OFFICE REPLY Newsletter Sign Up POLITICS HuffPost's top politics stories, straight to your inbox. Successfully Signed Up! Realness delivered to your inbox By entering your email and clicking Sign Up, you're agreeing to let us send you customized marketing messages about us and our advertising partners. You are also agreeing to our Terms of Service and Privacy Policy. Close WHAT'S HOT ARNOLD SCHWARZENEGGER SAYS HEAVEN IS 'FANTASY' AND 'NOTHING' HAPPENS WHEN WE DIE MY GIRLFRIEND AND I WENT TO A SEX PARTY. IN THE MIDDLE OF AN ORGY, I REALIZED I'M NOT STRAIGHT. OPINION: SEN. 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